Description
Amfetamine
Amphetamine / Amfetamine contracted from alpha-methylphenethylamine is a central nervous system (CNS) stimulant that is used in the treatment of attention deficit hyperactivity disorder (ADHD), narcolepsy, and obesity. It is also used to treat binge eating disorder in the form of its inactive prodrug lisdexamfetamine.
Amphetamine was discovered as a chemical in 1887 by Lazăr Edeleanu, and then as a drug in the late 1920s. It exists as two enantiomers which are evoamphetamine and dextroamphetamine.
Amphetamine is also used as an athletic performance enhancer and cognitive enhancer, and recreationally as an aphrodisiac and euphoriant. It is a prescription drug in many countries, and unauthorized possession and distribution of amphetamine are often tightly controlled due to the significant health risks associated with recreational use.
Amphetamines Stimulant Class
- Amphetamine: The parent compound of the substituted amphetamines, and a member of the phenethylamine class
- Bupropion: A prominent substituted amphetamine
- Cathinone: A prominent substituted amphetamine
- MDMA: A prominent substituted amphetamine with hallucinogenic properties
- Methamphetamine: A prominent substituted amphetamine
- Pseudoephedrine: A sympathomimetic drug that can be used as a stimulant, nasal decongestant, or wakefulness-promoting agent
Uses Of Amphetamine
Amphetamine increases monoamine and excitatory neurotransmission in the brain, with its most pronounced effects targeting the norepinephrine and dopamine neurotransmitter systems.
Amphetamine is used to treat attention deficit hyperactivity disorder (ADHD), narcolepsy, obesity, and, in the form of lisdexamfetamine, binge eating disorder.
ADHD
Long-term amphetamine exposure in humans with ADHD, long-term use of pharmaceutical amphetamines at therapeutic doses appears to improve brain development and nerve growth
Binge eating disorder
Binge eating disorder (BED) is characterized by recurrent and persistent episodes of compulsive binge eating. These episodes are often accompanied by marked distress and a feeling of loss of control over eating.
Narcolepsy
Narcolepsy is a chronic sleep-wake disorder that is associated with excessive daytime sleepiness, cataplexy, and sleep paralysis.
Enhancing performance
Amphetamine is used by some athletes for its psychological, cognitive and athletic performance-enhancing effects, such as increased endurance and alertness
It is sometimes prescribed off-label for its past medical indications, particularly for depression and chronic pain.
Amphetamine Metabolism
Amphetamine is known to be metabolized by the liver under the action of the CYP2D6. The metabolic pathway of amphetamine is mainly defined by aromatic hydroxylation, aliphatic hydroxylation, and n-dealkylation.
The formed metabolites in this pathway are 4-hydroxyamphetamine, 4-hydroxynorephedrine, hippuric acid, benzoic acid, benzyl methyl ketone, and p-hydroxyamphetamine which is known to be a potent hallucinogen. However, a significant part of the original compound remains unchanged.
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Adverse Effects Of Amphetamine
The adverse side effects of amphetamine are many and varied, and the amount of amphetamine used is the primary factor in determining the likelihood and severity of adverse effects.
Amphetamine products such as Adderall, Dexedrine, and their generic equivalents are currently approved by the U.S. FDA for long-term therapeutic use.
Recreational use of amphetamine generally involves much larger doses, which have a greater risk of serious adverse drug effects than dosages used for therapeutic purposes.
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